Traumatologia facial

81 Pages·2014·7.78 MB·Spanish

Traumatologia facial
Gregorio Sánchez Aniceto
Servicio de Cirugía Oral y Maxilofacial
Hospital Universitario 12 de Octubre
Madrid
1600 AC : Egipto
“‘Alguien con una
fractura en su
mandíbula, sobre la
cual se ha inflingido
una herida (cid:1)
y de ello tiene unas
fiebres’ Una
condición para no
ser tratada(cid:1)”
From Breasted translation of the Edwin Smith papyrus
460 AC: Grecia
•  Maxilares vendados
juntos para dar
estabilidad
HHiippppooccrraatteess ppiiccttuurree

•  Tiras de cuero
cartaginés pegadas a la
cara alrededor de
segmentos fracturarios
From F Adams, Genuine Works of Hippocrates, 1849.
Suspension externa
“Both upper jaw bones
were loosened from
their connections(cid:1)
Both upper jaw bones
were held fast and
pressed against each
other at a high level by
means of a quickly
assembled apparatus.”
Von Graefe cranio-maxillary suspension device
Siglo XX
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“Osteosíntesis” craneomaxilofacial
Traumatismos faciales
1501 patients / 165 days
Traffic
•  Men (68%) 25%
Domestic
Women (32%).
40%
5%
Assault
20%

others
•  MVA : 598 patients (38%)
•  32 years (medium age)
29% Facial fractures
• 
Sánchez Aniceto G: Doctoral Thesis. Univ. Complutense (1993)
Traumatismos faciales
•  Aislados 75%

•  Trauma asociado 25 %
Traumatismos faciales
•  Baja energía
•  Alta energía

Caida de 7 metros = 30 kms/h